Surgical treatment strategy in Warthin tumor of the parotid gland
Introduction: Warthin tumors are the second most common benign tumors of the parotid gland. We examined the clinical features of Warthin tumors in our hospital, and analyzed the consistency within the literatures. Objective: The aim of this study is to analyze the clinical features of Warthin tumors...
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Format: | Article |
Language: | English |
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Elsevier
2019-09-01
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Series: | Brazilian Journal of Otorhinolaryngology |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869418302283 |
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doaj-619ee06ccea347abab788c1a0c40ff9c |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dong Hoon Lee Tae Mi Yoon Joon Kyoo Lee Sang Chul Lim |
spellingShingle |
Dong Hoon Lee Tae Mi Yoon Joon Kyoo Lee Sang Chul Lim Surgical treatment strategy in Warthin tumor of the parotid gland Brazilian Journal of Otorhinolaryngology |
author_facet |
Dong Hoon Lee Tae Mi Yoon Joon Kyoo Lee Sang Chul Lim |
author_sort |
Dong Hoon Lee |
title |
Surgical treatment strategy in Warthin tumor of the parotid gland |
title_short |
Surgical treatment strategy in Warthin tumor of the parotid gland |
title_full |
Surgical treatment strategy in Warthin tumor of the parotid gland |
title_fullStr |
Surgical treatment strategy in Warthin tumor of the parotid gland |
title_full_unstemmed |
Surgical treatment strategy in Warthin tumor of the parotid gland |
title_sort |
surgical treatment strategy in warthin tumor of the parotid gland |
publisher |
Elsevier |
series |
Brazilian Journal of Otorhinolaryngology |
issn |
1808-8694 |
publishDate |
2019-09-01 |
description |
Introduction: Warthin tumors are the second most common benign tumors of the parotid gland. We examined the clinical features of Warthin tumors in our hospital, and analyzed the consistency within the literatures. Objective: The aim of this study is to analyze the clinical features of Warthin tumors in our 10-year experience of 118 Warthin tumors undergoing surgery at a single institute. Methods: From December 2006 to December 2016, 110 patients who underwent surgical treatment for Warthin tumors were identified based on their medical records. Results: A total of 118 parotid gland operations were performed in 110 patients. Almost 90% of Warthin tumors were found in males, and average patient age was 66.1 ± 6.1 years. The prevalence of smoking history was 89.1% (98/110). Eight patients (7.3%) had bilateral Warthin tumors. Seventy-seven lesions (65.3%) were located in the parotid tail portion, followed by 34 lesions in the superficial lobe (28.8%) and 7 lesions in the deep lobe (5.9%). Conclusion: We determined the appropriate extent of surgery depending on the fine needle aspiration cytology and tumor location by computed tomography scans. Partial facial dysfunction after the operation was detected in 12 cases, and facial nerve function recovered within 3 months. Only one patient experienced a recurrence, and was disease free after the re-operation. We suggest that our treatment algorithm, depending on the location of tumors and the result of fine needle aspiration cytology, can be useful to determine the appropriate extent of surgery for Warthin tumors. Resumo: Introdução: Os tumores de Warthin são os segundos tumores benignos mais comuns da glândula parótida. Avaliamos as características clínicas dos tumores de Warthin em nosso hospital e analisamos a consistência com a literatura. Objetivo: Analisar as características clínicas dos tumores de Warthin em nossa experiência de 10 anos de 118 tumores de Warthin submetidos a tratamento cirúrgico em um único instituto. Método: De dezembro de 2006 a dezembro de 2016, 110 pacientes que receberam tratamento cirúrgico para tumores de Warthin foram identificados com base em seus prontuários médicos. Resultados: Foram feitas 118 cirurgias na glândula parótida em 110 pacientes. Quase 90% dos tumores de Warthin foram encontrados em homens e a média da idade dos pacientes foi de 66,1 ± 6,1 anos. A prevalência de tabagismo foi de 89,1% (98/110). Oito pacientes (7,3%) tinham tumores de Warthin bilaterais na glândula parótida. Das lesões, 77 (65,3%) localizavam-se na porção da cauda da parótida, seguidas por 34 no lobo superficial (28,8%) e 7 no lobo profundo (5,9%). Conclusão: Determinamos a extensão apropriada da cirurgia de acordo com a punção aspirativa com agulha fina e localização do tumor por tomografia computadorizada. Disfunção facial parcial após a cirurgia foi detectada em 12 casos e a função do nervo facial foi recuperada em 3 meses. Apenas um paciente apresentou recidiva e ficou livre da doença após reoperação. Sugerimos que nosso algoritmo de tratamento, a depender da localização dos tumores e do resultado da PAAF, pode ser útil para determinar a extensão apropriada da cirurgia para os tumores de Warthin. Keywords: Warthin tumor, Parotid gland, Computed tomography, Fine-needle biopsy, Surgical procedures, Palavras-chave: Tumor de Warthin, Glândula parótida, Tomografia computadorizada, Biópsia por agulha fina, Procedimentos cirúrgicos |
url |
http://www.sciencedirect.com/science/article/pii/S1808869418302283 |
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doaj-619ee06ccea347abab788c1a0c40ff9c2021-03-02T10:24:41ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942019-09-01855546550Surgical treatment strategy in Warthin tumor of the parotid glandDong Hoon Lee0Tae Mi Yoon1Joon Kyoo Lee2Sang Chul Lim3Chonnam National University, Medical School, Department of Otolaryngology-Head and Neck Surgery, Hwasun, South Korea; Chonnam National University, Hwasun Hospital, Hwasun, South KoreaChonnam National University, Medical School, Department of Otolaryngology-Head and Neck Surgery, Hwasun, South Korea; Chonnam National University, Hwasun Hospital, Hwasun, South KoreaChonnam National University, Medical School, Department of Otolaryngology-Head and Neck Surgery, Hwasun, South Korea; Chonnam National University, Hwasun Hospital, Hwasun, South Korea; Corresponding author.Chonnam National University, Medical School, Department of Otolaryngology-Head and Neck Surgery, Hwasun, South Korea; Chonnam National University, Hwasun Hospital, Hwasun, South KoreaIntroduction: Warthin tumors are the second most common benign tumors of the parotid gland. We examined the clinical features of Warthin tumors in our hospital, and analyzed the consistency within the literatures. Objective: The aim of this study is to analyze the clinical features of Warthin tumors in our 10-year experience of 118 Warthin tumors undergoing surgery at a single institute. Methods: From December 2006 to December 2016, 110 patients who underwent surgical treatment for Warthin tumors were identified based on their medical records. Results: A total of 118 parotid gland operations were performed in 110 patients. Almost 90% of Warthin tumors were found in males, and average patient age was 66.1 ± 6.1 years. The prevalence of smoking history was 89.1% (98/110). Eight patients (7.3%) had bilateral Warthin tumors. Seventy-seven lesions (65.3%) were located in the parotid tail portion, followed by 34 lesions in the superficial lobe (28.8%) and 7 lesions in the deep lobe (5.9%). Conclusion: We determined the appropriate extent of surgery depending on the fine needle aspiration cytology and tumor location by computed tomography scans. Partial facial dysfunction after the operation was detected in 12 cases, and facial nerve function recovered within 3 months. Only one patient experienced a recurrence, and was disease free after the re-operation. We suggest that our treatment algorithm, depending on the location of tumors and the result of fine needle aspiration cytology, can be useful to determine the appropriate extent of surgery for Warthin tumors. Resumo: Introdução: Os tumores de Warthin são os segundos tumores benignos mais comuns da glândula parótida. Avaliamos as características clínicas dos tumores de Warthin em nosso hospital e analisamos a consistência com a literatura. Objetivo: Analisar as características clínicas dos tumores de Warthin em nossa experiência de 10 anos de 118 tumores de Warthin submetidos a tratamento cirúrgico em um único instituto. Método: De dezembro de 2006 a dezembro de 2016, 110 pacientes que receberam tratamento cirúrgico para tumores de Warthin foram identificados com base em seus prontuários médicos. Resultados: Foram feitas 118 cirurgias na glândula parótida em 110 pacientes. Quase 90% dos tumores de Warthin foram encontrados em homens e a média da idade dos pacientes foi de 66,1 ± 6,1 anos. A prevalência de tabagismo foi de 89,1% (98/110). Oito pacientes (7,3%) tinham tumores de Warthin bilaterais na glândula parótida. Das lesões, 77 (65,3%) localizavam-se na porção da cauda da parótida, seguidas por 34 no lobo superficial (28,8%) e 7 no lobo profundo (5,9%). Conclusão: Determinamos a extensão apropriada da cirurgia de acordo com a punção aspirativa com agulha fina e localização do tumor por tomografia computadorizada. Disfunção facial parcial após a cirurgia foi detectada em 12 casos e a função do nervo facial foi recuperada em 3 meses. Apenas um paciente apresentou recidiva e ficou livre da doença após reoperação. Sugerimos que nosso algoritmo de tratamento, a depender da localização dos tumores e do resultado da PAAF, pode ser útil para determinar a extensão apropriada da cirurgia para os tumores de Warthin. Keywords: Warthin tumor, Parotid gland, Computed tomography, Fine-needle biopsy, Surgical procedures, Palavras-chave: Tumor de Warthin, Glândula parótida, Tomografia computadorizada, Biópsia por agulha fina, Procedimentos cirúrgicoshttp://www.sciencedirect.com/science/article/pii/S1808869418302283 |